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Printable Form 990 (Schedule H) Hillsboro Oregon: What You Should Know
Management Organization, the hospital must submit the following documents in addition toĀ the Schedule H: Information on the number of beds, the number of patients served, and the total cost of the services provided. Form COE. COE requires the following information: Number and type of services provided and whether the services qualify for any of the hospital'sĀ specialty programs. Total cost of services. Description of any special education services provided and whether such services meet theĀ Hospital System (S) requirement. Total cost and type of service. Type of service. Total cost. Total amountĀ paid to insurance companies. The āpatient service unitā is any of the following: The first floor (main lobby). A corridor/passageway. A hallway. AĀ patient waiting room. A bathroom. A changing room. A staff bathroom/hallway area. AnĀ accommodating living room. A restroom. A laundry rooms. A kitchen. A dressing room. AĀ suite rooms. A storage rooms. Any of the following for an outside visitor, such as a nurse.Ā The total number of days in the period. What activities the patient participated in. (i.e. sports, outdoorĀ activities) What activities the patient did not participate in for the period. Note: An individual does not need aĀ hospital ID number for the purpose of completing a COE. If the patient did not have an ID number, thatĀ makes an individual ineligible for a special service payment. The type of identification used. What type of payment was made, if any. The number of visits per patient (i.e. non-cash payments,Ā other than an out-of-pocket cost- sharing reduction, which is not a special service payment). AĀ recurring payment item. An item of equipment or supplies that was provided. This includes items such asĀ vests, braces, medication dispensers, and wheelchairs, as well as personal care items, such asĀ hair products and sanitary napkins. The total amount paid (cash, non-cash, and out-of-pocket) to each eligible patient perĀ specified date. The hospital's share of reimbursement that may be paid (e.g., 50 percent for Medicare, but not for Medicaid). AĀ list of all the eligible services, if any.
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